Latino School Readiness: Engaging Pediatric and Early Childhood Systems to Adapt and Pilot Family Centered Primary Care Interventions

项目摘要 准备好学习的孩子更有可能在学业上取得成功。然而，低收入家庭的儿童 往往比富裕的同龄人晚入学。越来越多的拉丁裔儿童 入学准备的经济和文化障碍。初级保健诊所是一个机会， 正如儿科医生所信任的那样， 与孩子和家庭的关系。在先前的工作中，最近的吸毒者的拉丁裔家庭确定了具体的 干预措施，可以适应他们的需要，在儿科诊所，包括增加知识，通过 技能检查表和短信，通过自动转介和家长 通过与父母和孩子的辅导来增强能力。 我的长期目标是成为一名独立的物理学家和科学家，并在开发和实施方面发挥领导作用。 对拉丁裔儿童的支持这K 08赠款将提供指导和技能发展的学习 卫生系统，成为一个学校准备专家，并为早期职业奖做准备。我的职业生涯 发展计划包括具体的培训目标：1）移动的保健干预的专门知识，2）高级 实施科学，3）多组分干预的临床试验设计，以及4）历史和 美国的拉丁裔移民的教育文化。 本K 08职业发展建议书的研究目标是完善和试点测试一套家长 首选儿科诊所为基础的SR干预措施，专门针对SR的需求和拉丁美洲人的愿望 家庭研究的前提是，儿科诊所是一个值得信赖的，可接受的和可行的设置，以确定 满足SR需求。具体目标：（1）定性地确定可接受性、预期效益和 通过与儿科医生的访谈，实施一揽子基于初级保健的SR干预措施 提供者和幼儿教育工作者（ECE）（n=20），（2）与利益相关者小组合作， 可接受的SR干预措施，为临床环境创建SR计划，并制定实施方案 试点测试的战略和3）与讲西班牙语的第一个出生的父母试点SR干预计划2- 3岁儿童，以确定在初级保健诊所的可行性和可接受性（n=50）。

PROJECT SUMMARY Children who enter school ready to learn are more likely to succeed academically. Yet, low-income children often enter school behind their more affluent peers. The growing population of Latino children experience economic and cultural barriers to school readiness (SR). The primary care clinic represents an opportunity to augment the fractured early childhood education (ECE) system, as pediatricians have trusted, repeated relationships with children and families. In prior work Latino families of recent kindergarteners identified specific interventions that could be adapted to their needs in the pediatric clinic including increased knowledge through skills checklists and text messages, connection to preschool through automatic referrals and parent empowerment through coaching with parent-child dyads. My long-term goal is to be an independent physician-scientist and leader in development and implementation of SR supports for Latino children. This K08 grant will provide mentorship and skill development in learning health systems to become a school readiness expert and prepare for an early career award. My career development plan includes specific training goals: 1) expertise in mobile health interventions, 2) advanced implementation science, 3) clinical trial design for multi-component interventions, and 4) history and educational culture of immigrant Latinos in the US. The research objective of this K08 Career Development Proposal is to refine and pilot test a package of parent preferred pediatric clinic-based SR interventions that specifically target the SR needs and desires of Latino families. The study premise is that the pediatric clinic is a trusted, acceptable and feasible setting to identify and address SR needs. Specific Aims: (1) qualitatively determine acceptability, perceived benefits and implementation for a package of primary-care based SR interventions through interviews with pediatric providers and early childhood educators (ECE) (n=20), (2) engage a stakeholder panel to prioritize usable and acceptable SR interventions, create a SR program for the clinical setting, and develop an implementation strategy for pilot testing and 3) pilot the SR intervention program with parents of Spanish speaking first-born 2- 3-year-olds to determine feasibility and acceptability in the primary care clinic (n=50).